Dental
Charter Oak Dental Center LLC
Charter Oak Dental Center LLC was paid $236K by Medicaid between Jan 2018 and Mar 2020, across 15 billing codes. Its largest line is D7210, Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth — 20% of everything it billed.
33Billing provider infoCHARTER OAK DENTAL CENTER LLC
HARTFORD, CT 06106
HARTFORD, CT 06106
33aNPI1548635899assigned 12/10/2015
33bProvider typeDentist
28Total paid$236K
24GClaims9,008
24DCodes billed15
24AFirst – last monthJan 2018 – Mar 2020
Compared with peers
Next to other Dentist providers in Connecticut
Rank by total paid#43 of 153
Median peer was paid$41K
This provider vs. median5.7×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 3,979 | $109K | |
| 2019 | 4,873 | $122K | |
| 2020 | 156 | $4K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D7210 | Extraction, erupted tooth requiring removal of bone and/or sectioning of tooth | 20% | 561 | 248 | $47K |
| D1110 | Prophylaxis - adult | 13% | 1,024 | 976 | $30K |
| D0150 | Comprehensive oral evaluation - new or established patient | 12% | 1,240 | 922 | $28K |
| D0140 | Limited oral evaluation - problem focused | 11% | 1,103 | 920 | $25K |
| D0274 | Bitewings - four radiographic images | 10% | 1,028 | 969 | $25K |
| D0330 | Panoramic radiographic image | 8.7% | 559 | 502 | $20K |
| D1208 | Topical application of fluoride, excluding varnish | 7.6% | 1,108 | 1,063 | $18K |
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 5.4% | 628 | 619 | $13K |
| D0220 | Intraoral - periapical first radiographic image | 3.9% | 984 | 847 | $9K |
| D1120 | Dental cleaning, childProphylaxis - child | 2.9% | 172 | 171 | $7K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 2.0% | 93 | 43 | $5K |
| D0230 | Intraoral - periapical each additional radiographic image | 1.6% | 445 | 288 | $4K |
3 more codes
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialSYED, SHAKIL (OWNER/MEMBER)